Individual
LATASHA NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 HUFFMAN MILL RD, BURLINGTON, NC 27215-5113
(843) 538-6240
Mailing address
107 W HARGETT ST, RALEIGH, NC 27601-1700
(919) 532-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013173
NC
363L00000X
Nurse Practitioner
RN200792
GA
Other
Enumeration date
02/12/2019
Last updated
03/22/2022
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